PROVIDENCE HEALTH & SERVICES OREGON
NPI 1093963209
Clinic/Center - Adult Mental Health in Portland, OR
About Providence Health & Services Oregon NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PROVIDENCE HEALTH & SERVICES OREGON (NPI 1093963209), doing business as Providence Medical Group, is a healthcare organization registered as an adult mental health in Portland, Oregon and active in the NPI registry since August 2008. The organization lists Donald W Anderson, Assistant Secretary Of Enrollments, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 6
Other Names 2
Other Identifiers 2
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Providence Health & Services Oregon is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
1,498Medicare enrollment records show 1,498 clinicians reassign Medicare billing to Providence Health & Services Oregon, which bills Medicare for the services they deliver. Of these, 41 practice at this address and 1,050 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 56
Nearest to this location (20)
See all 1,498Portland, OR 97213
Portland, OR 97213
Portland, OR 97213
Portland, OR 97213
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Providence Health & Services Oregon's NPI number?
The NPI number for Providence Health & Services Oregon is 1093963209. It was assigned to this organization in the NPPES registry on August 29, 2008. The provider is doing business as Providence Medical Group and Providence Psychiatry East.
Where is Providence Health & Services Oregon located?
Providence Health & Services Oregon is located at 5251 NE Glisan St Bldg A, 2nd Floor, Portland, OR 97213. The listed phone number is (503) 215-4860.
What is Providence Health & Services Oregon's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.
Is Providence Health & Services Oregon enrolled in Medicare?
Yes. Providence Health & Services Oregon is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Providence Health & Services Oregon?
According to the CMS Revalidation Reassignment List (October 2026 release), 1,498 clinicians in 56 Medicare specialties reassign their Medicare billing to Providence Health & Services Oregon. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Internal Medicine (250), Family Practice (212) and Nurse Practitioner (210). Of these, 41 practice at this address and 1,050 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Providence Health & Services Oregon accept?
Health plans from Providence Health Plan list Providence Health & Services Oregon as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Providence Health & Services Oregon was last updated on May 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Providence Health & Services Oregon · NPI 1093963209
Adult Mental Health organization in Portland, Oregon. Organization record, active in the CMS NPPES registry since August 29, 2008.
## Identity
- **NPI:** 1093963209 (Entity type: Organization)
- **Enumerated:** August 29, 2008
- **Primary specialty:** Clinic/Center - Adult Mental Health · taxonomy 261QM0850X
- **Also known as:** PROVIDENCE MEDICAL GROUP (Doing Business As); PROVIDENCE PSYCHIATRY EAST (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Donald Anderson, ASSISTANT SECRETARY OF ENROLLMENTS
## Practice location
- **Address:** 5251 NE GLISAN ST, BLDG A, 2ND FLOOR, Portland, OR 97213-3052
- **Phone:** (503) 215-4860
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1,498 clinicians in 56 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Internal Medicine (250), Family Practice (212), Nurse Practitioner (210); 41 practice at this address and 1,050 within 10 miles; [full list](https://npiprofile.com/npi/1093963209/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 26, 2026
- **Other identifiers:** Medicaid 500601335 (OR); Medicaid 500611962 (OR)
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Source: [NPI Profile](https://npiprofile.com/npi/1093963209) · Data from the CMS NPPES public registry.